Marital Status, Marital Transitions, and Sleep Quality in Mid to Late Life

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 406-407
Author(s):  
Kristin August
Keyword(s):  
Romantic Relationships ◽  
Sleep Quality ◽  
Marital Status ◽  
Fixed Effects ◽  
Sleep Disturbances ◽  
Panel Study ◽  
Late Life ◽  
Later Life ◽  
Marital Transitions ◽  
Married Individuals

Abstract Sleep is an important behavior in the prevention and management of chronic conditions in later life. Marital status may account for variability in sleep quality, but little is known about this association in the later part of life or how transitions into and out of marriage are related to changes in sleep quality. This study used the resource model and crisis model as frameworks to understand how marital status and marital transitions were related to sleep quality in mid to late life and whether these findings differed by gender. Interview data from 2,872 participants 50-74 years old (M=59.77 years; 63.7% women) from the ORANJ BOWL, a longitudinal panel study in New Jersey, were used. Marital status and sleep quality were examined in two waves approximately 10 years apart. All analyses controlled for health and sociodemographic characteristics. Weighted regressions revealed that individuals in committed romantic relationships and women had worse sleep quality than those in other marital status groups and men (p<.005). Weighted fixed effects regressions revealed that compared to individuals who remained married, individuals who remained divorced or widowed or who became widowed had better sleep quality, whereas those who became divorced had worse sleep quality (ps<.05); individuals who transitioned into marriage had better sleep quality than those who remained divorced or widowed (ps<.03). Findings differed depending on the index of sleep quality examined. Efforts to understand which middle-aged and older adults are most vulnerable to sleep disturbances can inform the design of interventions to promote better sleep quality.

Marital Status, Marital Transitions, and Sleep Quality in Mid to Late Life

2021 ◽  
pp. 016402752110272
Author(s):  
Kristin J. August
Keyword(s):  
New Jersey ◽  
Sleep Quality ◽  
Marital Status ◽  
Romantic Relationship ◽  
Panel Study ◽  
Late Life ◽  
Important Predictor ◽  
Marital Transitions ◽  
Married Individuals ◽  
And Gender

This study aimed to understand how marital status and marital transitions were related to sleep quality in mid to late life and whether these findings differed by gender. Data from 2,872 participants 50–74 years old from the ORANJ BOWLSM, a longitudinal panel study in New Jersey, were used. Marital status and sleep quality were examined in two waves that were approximately 10 years apart. Individuals in a significant romantic relationship and women had worse sleep quality than those in other marital status groups and men. Compared to individuals who remained married, individuals who remained divorced or widowed or who became widowed had better sleep quality, whereas those who became divorced had worse sleep quality; individuals who transitioned into marriage had better sleep quality than those who remained divorced or widowed. Marital status and gender appear important for at least some indices of sleep quality, an important predictor of late-life health.

scholarly journals FOR BETTER OR FOR WORSE: MARITAL TRANSITIONS AND SEXUAL LIFE IN MIDDLE AND OLDER AGE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S304-S305
Author(s):  
Jeffrey E Stokes ◽  
Elizabeth A Gallagher ◽  
Remona Kanyat ◽  
Cindy N Bui ◽  
Celeste Beaulieu
Keyword(s):  
Marital Status ◽  
Sexual Activity ◽  
Later Life ◽  
Well Being ◽  
The United States ◽  
Sexual Life ◽  
National Study ◽  
Marital Transitions ◽  
Baseline Values

Abstract Marital transitions have known implications for health and well-being. However, little research has examined the effects of such transitions on adults’ sexual lives. This study uses longitudinal data from the National Study of Midlife Development in the United States (1995–2014) to compare different marital status and transition groups’ sexual activity, satisfaction, control, and effort throughout mid-and-later life. Across all outcomes, effects of marital status/transitions were contingent upon baseline values of the outcome. Consistently married adults reported more frequent sexual activity, greater sexual satisfaction, and greater effort put into sexual life than other groups when baseline values of those outcomes were average or above-average; such group differences were reduced or reversed at below-average baseline values. Among the not-married, women reported significantly less sexual activity than men. The consistently divorced/separated, consistently widowed, newly divorced/separated, and newly widowed all reported greater control over sexual life at follow-up than the consistently married, when baseline sexual control was average and/or below-average. Lastly, women reported lesser effort put into sexual life at follow-up than men across all groups, accounting for baseline effort; these gender gaps were least pronounced among the consistently and newly married, and most pronounced among the newly widowed and newly divorced/separated. Overall, findings indicate that implications of marital transitions for midlife and older adults’ sexual lives depend upon both gender and pre-transition context. Marriage is not always beneficial for sexual life; rather, poor quality sexual lives during marriage can reduce opportunities for improvement that may arise with marital transitions, including divorce and widowhood.

scholarly journals 1146 Interaction Of Mild Cognitive Impairment And Late-life Depression In Actigraphy And Self Report Of Sleep Problems

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A436-A437
Author(s):  
J Aronis ◽  
K Daigle ◽  
A Almaghasilah ◽  
C Gilbert ◽  
T Fremouw ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Sleep Latency ◽  
Late Life ◽  
Self Report ◽  
Depression Symptoms ◽  
Late Life Depression ◽  
Sleep Medication

Abstract Introduction Late-life depression has been proposed as a precursor to amnestic Mild Cognitive Impairment (aMCI), the prodrome of Alzheimer’s disease. Both conditions are associated with sleep and cognitive problems. We hypothesized that MCI and current depressive symptoms would co-occur more frequently, but express distinct sleep phenotypes. Methods Independently living older adults (N=80), age 62-90 (M=71.78, SD=5.98), were recruited from a geriatric psychiatry clinic and the community for a home sleep study. A clinical decision board and neurocognitive battery were used to determine MCI status. Participants completed the CES-D and depression history interview where endorsement of current depression was considered positive. Sleep was examined with wrist actigraphy for 7 days. Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Stanford Sleepiness Scale (SSS) provided subjective sleep quality. Results Based on these criteria, 41.2% of the sample were determined to be MCI (n=33); the remainder were deemed normative for age (NC; n=47). Chi-square analyses showed a higher frequency of MCI were positive for current depression than expected (14.2%; p=0.017). Repeated-measures MANOVA, using current depression symptoms and MCI as factors, revealed MCI was associated with longer sleep latency (p=0.035) and wake bout time (p=0.039); whereas, current depression was associated with longer sleep latency, more fragmentation/WASO, and lower sleep efficiency (p’s<0.05), self-report of poorer daytime dysfunction (p=0.005), and greater daytime sleepiness (p=0.001). MCI x current depression interactions were found for sleep latency (p=0.029); and PSQI sleep disturbances (p=0.005) and sleep medication (p=0.025). Conclusion Despite distinct sleep disordered phenotypes, the interaction of MCI and current depression is associated with delayed sleep onset, use sleep medication and report of sleep disturbances. Support This project was sponsored by: NASA, Maine Space Consortium; AG 056176, AG 053164 Vice President for Research, U. Maine; Maine Technology Institute; DoD Phase I SBIR and R44AG059536-01 SBIR Phase II Award.

scholarly journals Loved and lost or never loved at all? Lifelong marital histories and their links with subjective well-being

2020 ◽  
Author(s):  
Mariah Purol ◽  
Victor N. Keller ◽  
Jeewon Oh ◽  
William J. Chopik ◽  
Richard E. Lucas
Keyword(s):  
Sequence Analysis ◽  
Marital Status ◽  
Panel Study ◽  
Later Life ◽  
Well Being ◽  
Subjective Well Being ◽  
Income Dynamics ◽  
Single Group ◽  
Group 13 ◽  
Sequence Types

Marriage has been linked to higher well-being. However, previous research has generally examined marital status at one point in time or over a relatively short window of time. In order to determine if different marital histories have unique impacts on well-being in later life, we conducted a marital sequence analysis of 7,532 participants from the Panel Study of Income Dynamics (54.2% women; Mage = 66.68, SD = 8.50; 68.7% White/Caucasian). Three different marital sequence types emerged: a “consistently-married” group (79%), a “consistently-single” group (8%), and a “varied histories” group (13%), in which individuals had moved in and out of various relationships throughout life. The consistently-married group was slightly higher in well-being at the end of life than the consistently-single and varied histories groups; the latter two groups did not differ in their well-being. The results are discussed in the context of why marriage is linked to well-being across the lifespan.

scholarly journals Health and Housework in Later Life: A Longitudinal Study of Retired Couples

2018 ◽  
Vol 75 (1) ◽  
pp. 184-194 ◽  
Author(s):  
Thomas Leopold ◽  
Florian Schulz
Keyword(s):  
Longitudinal Study ◽  
Health Status ◽  
Fixed Effects ◽  
Panel Study ◽  
Later Life ◽  
Life Stages ◽  
Health Issues ◽  
Fixed Effects Models ◽  
Housework Time ◽  
Domestic Outsourcing

Abstract Objectives To examine how changes in wives’ and husbands’ health influenced housework time and domestic outsourcing in retired couples. Method We estimated fixed-effects models to test hypotheses about the gendered influence of health declines on absolute and relative measures of time spent on routine and nonroutine housework as well as the probability of outsourcing housework. The data were obtained from 23 waves of the German Socio-Economic Panel Study, comprising N = 25,119 annual observations of N = 3,889 retired couples aged 60–85 years. Results Wives’ and husbands’ housework time declined with health status, but these effects were large only for serious health problems. We found evidence for within-couple compensation of spouses’ health declines, a mechanism that was limited to indispensable tasks of routine housework. The probability of getting paid help from outside the household increased with declining health, and this increase was more strongly tied to wives’ health declines than to husbands’ health declines. Discussion The results demonstrate the relevance of health status for the performance of housework in retired couples. The evidence attests to the resilience of couples during later-life stages in which health issues may severely inhibit domestic productivity.

scholarly journals Relationship Between Sleep Quality and Mood: Ecological Momentary Assessment Study

10.2196/12613 ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. e12613 ◽  
Author(s):  
Sofia Triantafillou ◽  
Sohrab Saeb ◽  
Emily G Lattie ◽  
David C Mohr ◽  
Konrad Paul Kording
Keyword(s):  
Sleep Quality ◽  
Mobile Phones ◽  
Ecological Momentary Assessment ◽  
Fixed Effects ◽  
Sleep Disturbances ◽  
Weather Conditions ◽  
Assessment Data ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment

Background Sleep disturbances play an important role in everyday affect and vice versa. However, the causal day-to-day interaction between sleep and mood has not been thoroughly explored, partly because of the lack of daily assessment data. Mobile phones enable us to collect ecological momentary assessment data on a daily basis in a noninvasive manner. Objective This study aimed to investigate the relationship between self-reported daily mood and sleep quality. Methods A total of 208 adult participants were recruited to report mood and sleep patterns daily via their mobile phones for 6 consecutive weeks. Participants were recruited in 4 roughly equal groups: depressed and anxious, depressed only, anxious only, and controls. The effect of daily mood on sleep quality and vice versa were assessed using mixed effects models and propensity score matching. Results All methods showed a significant effect of sleep quality on mood and vice versa. However, within individuals, the effect of sleep quality on next-day mood was much larger than the effect of previous-day mood on sleep quality. We did not find these effects to be confounded by the participants’ past mood and sleep quality or other variables such as stress, physical activity, and weather conditions. Conclusions We found that daily sleep quality and mood are related, with the effect of sleep quality on mood being significantly larger than the reverse. Correcting for participant fixed effects dramatically affected results. Causal analysis suggests that environmental factors included in the study and sleep and mood history do not mediate the relationship.

scholarly journals Relationship Between Sleep Quality and Mood: Ecological Momentary Assessment Study (Preprint)

2018 ◽  
Author(s):  
Sofia Triantafillou ◽  
Sohrab Saeb ◽  
Emily G Lattie ◽  
David C Mohr ◽  
Konrad Paul Kording
Keyword(s):  
Sleep Quality ◽  
Mobile Phones ◽  
Ecological Momentary Assessment ◽  
Fixed Effects ◽  
Sleep Disturbances ◽  
Weather Conditions ◽  
Assessment Data ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment

BACKGROUND Sleep disturbances play an important role in everyday affect and vice versa. However, the causal day-to-day interaction between sleep and mood has not been thoroughly explored, partly because of the lack of daily assessment data. Mobile phones enable us to collect ecological momentary assessment data on a daily basis in a noninvasive manner. OBJECTIVE This study aimed to investigate the relationship between self-reported daily mood and sleep quality. METHODS A total of 208 adult participants were recruited to report mood and sleep patterns daily via their mobile phones for 6 consecutive weeks. Participants were recruited in 4 roughly equal groups: depressed and anxious, depressed only, anxious only, and controls. The effect of daily mood on sleep quality and vice versa were assessed using mixed effects models and propensity score matching. RESULTS All methods showed a significant effect of sleep quality on mood and vice versa. However, within individuals, the effect of sleep quality on next-day mood was much larger than the effect of previous-day mood on sleep quality. We did not find these effects to be confounded by the participants’ past mood and sleep quality or other variables such as stress, physical activity, and weather conditions. CONCLUSIONS We found that daily sleep quality and mood are related, with the effect of sleep quality on mood being significantly larger than the reverse. Correcting for participant fixed effects dramatically affected results. Causal analysis suggests that environmental factors included in the study and sleep and mood history do not mediate the relationship.

THE RELATIONSHIP BETWEEN SMART PHONE USAGE AND SLEEP DISTURBANCES AND PSYCHOLOGICAL DISSTRESS AMONG STUDENTS

2017 ◽  
pp. 125-130
Author(s):  
Minh Tam Nguyen ◽  
Phuc Thanh Nhan Nguyen ◽  
Thi Thuy Hang Nguyen
Keyword(s):  
High School ◽  
High School Students ◽  
University Students ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Public Health Problem ◽  
Smartphone Addiction ◽  
Poor Sleep ◽  
School Students ◽  
The Relationship

The increasing use of smartphone among young people is creating negative effects and is an important public health problem in many countries. Smartphone abuse and addiction may cause physical and psychological disorders among users. However, the awarenes on this issue has been inadequate due to lacking of evidence. Objectives: To describe the current situation of smartphone using among students at highschools and universities in Hue city and to examine the relationship between smartphone using and sleep disturbances and psychological disstress among participants. Methods: A cross-sectional study with a randomly selected sample of 1,150 students at highschools and universities in Hue city. SAS-SV scale was used to evaluate phone addiction status, K10 scale was used for psychological distress assessment and PSQI scale was used to examine the sleep quality. Results: The proportion of students at highschools and universities having smartphones was 78.0%. The rate of smartphone addiction among high school students was 49.1% and that among university students was 43.7%. There was 57.3% of high school students had poor sleep quality, and that of university students was 51.6%. There was a statistically significant association between smartphone addiction and sleep disturbances and psychological disstress among participants (p <0.05). Conclusion: The prevalence of smartphone addiction among students at highschools and universities is alarming and is related to sleep disturbances and psychological disstress among participants. There is a strong call to develop intervention to help students to aware and manage the use of smartphone effectively.

scholarly journals Impact of Long Working Hours and Shift Work on Perceived Unmet Dental Need: A Panel Study

2021 ◽  
Vol 18 (6) ◽  
pp. 2939
Author(s):  
Hye-Eun Lee ◽  
Nam-Hee Kim ◽  
Tae-Won Jang ◽  
Ichiro Kawachi
Keyword(s):  
Shift Work ◽  
Dental Care ◽  
Fixed Effects ◽  
Panel Study ◽  
Working Hours ◽  
Care Needs ◽  
Long Working Hours ◽  
Care Services ◽  
Dental Care Needs ◽  
Dental Needs

This study investigates whether workers with long working hours as well as shift workers perceive higher unmet dental care needs, and whether there is a gender difference in the associations. We used the Korea Health Panel (2009, 2011–2014) involving 20,451 person-wave observations from 5567 individuals. Perceived unmet dental care needs was defined when the participants reported that they perceived a need for dental treatment or check-up but had failed to receive dental care services during the past year. Fixed effects logit models were applied to examine how changes in weekly working hours or shift work status were linked to changes in perceived unmet dental needs within each individual. Among participants, 15.9–24.7% reported perceived unmet dental needs and the most common reason was time scarcity. We found that long working hours (>52 h/week) was significantly associated with perceived unmet dental needs due to time scarcity in both men (OR = 1.42, 95% CI 1.13–1.78) and women (OR = 1.35, 95% CI 1.03–1.79) compared workers working 40–52 h per week. Shift work was also a significant risk factor, but only in women (OR = 1.57, 95% CI 1.06–2.32). These findings provide evidence for labor policies to reduce working hours in order to improve access to dental care services.

scholarly journals Sleep quality in the chronic stage of concussion is associated with poorer recovery: A systematic review

2021 ◽  
Vol 5 ◽  
pp. 205970022110208
Author(s):  
Rebecca Ludwig ◽  
Eryen Nelson ◽  
Prasanna Vaduvathiriyan ◽  
Michael A Rippee ◽  
Catherine Siengsukon
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Data Extraction ◽  
Grey Literature ◽  
Chronic Phase ◽  
Emotional Symptoms ◽  
Eligibility Criteria ◽  
Chronic Stage ◽  
Prior Review

Background Recovery from a concussion varies based on a multitude of factors. One such factor is sleep disturbances. In our prior review, it was observed that in the acute phase, sleep disturbances are predictive of poor outcomes following a concussion. The literature gap remains on how sleep in the chronic phase of recovery affects outcomes. Objective To examine the association between sleep quality during the chronic stage of concussion and post-concussion outcomes. Literature Survey: Literature searches were performed during 1 July to 1 August 2019 in selected databases along with searching grey literature. Out of the 733 results, 702 references were reviewed after duplicate removal. Methods Three reviewers independently reviewed and consented on abstracts meeting eligibility criteria ( n = 35). The full-text articles were assessed independently by two reviewers. Consensus was achieved, leaving four articles. Relevant data from each study was extracted using a standard data-extraction table. Quality appraisal was conducted to assess potential bias and the quality of articles. Results One study included children (18–60 months) and three studies included adolescents and/or adults (ranging 12–35 years). The association between sleep and cognition (two studies), physical activity (one study), and emotion symptoms (one study) was examined. Sleep quality was associated with decreased cognition and emotional symptoms, but not with meeting physical activity guidelines six months post-concussion injury. Conclusions The heterogeneity in age of participants and outcomes across studies and limited number of included studies made interpretations difficult. Future studies may consider if addressing sleep quality following concussion will improve outcomes.

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